Organization
MUNICIPALITY OF SKAGWAY
Active
Organization
MUNICIPALITY OF SKAGWAY
Active
Other names
Dahl Memorial Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT WALL (EXECUTIVE DIRECTOR)
(907) 983-2255
Entity
Organization
Contact information
Practice address
350 14TH AVENUE, SKAGWAY, AK 99840
(907) 983-2255
(907) 983-2793
Mailing address
PO BOX 537, SKAGWAY, AK 99840-0537
(907) 983-2255
(907) 983-2793
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
AK
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021836
MEDICARE FQHC
AK
05
—
1029911
—
AK
01
—
153026
MEDICARE PART B
AK
Enumeration date
12/14/2006
Last updated
07/19/2025
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